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微创接骨锁定钢板系统治疗膝关节周围骨折的体会 被引量：2

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摘要 目的探讨微创经皮接骨技术(MIPO)结合A0锁定钢板内固定系统(Lessinvasive stabilization system,LISS)治疗膝关节周围骨折的临床疗效。方法应用LISS治疗17例膝关节周围骨折,男11例,女6例;年龄27～73岁,平均48岁;其中股骨远端骨折9例9处,根据AO分型:A_1型1例,A_2型2例,A_3型1例,C_1型3例,C_2型2例;胫骨近端骨折8例8处,根据A0分型:A_2型1例,A_3型3例,C_2型3例,C_3型1例。结果所有病例均获得了随访,随访时间12～20个月,平均14个月。所有骨折均愈合,平均愈合时间为14周。根据改良HSS膝关节功能评价标准,优4例,良11例,可2例,优良率88.23%;并发症5例,发生率为29%,2例出现钢板刺激症状;1例出现术后骨折对位不良,股骨远端后倾10°;1例出现腓浅神经损伤;1例骨折愈合后内固定取出困难。结论 LISS是一种治疗膝关节周围骨折有效可靠的方法,体现了微创原则,使用过程中需了解LISS的固定原理及掌握正确的方法以减少并发症的发生。
作者 肖德浪 郑吉润 黄桂生 何春 李东海
机构地区 江西省吉安市第一人民医院
出处 《中国医学创新》 CAS 2010年第33期19-21,共3页 Medical Innovation of China
关键词 微创手术 骨折 内固定物
分类号 R687.3 [医药卫生—骨科学]
  • 相关文献

参考文献8

  • 1Farouk O,Krettek C,Miclau T,et al.Minimally invasive plate osteosynthesis:does percutaneous plating disrupt femoral blood supply less than the traditional technique.J Orthop Trauma,1999,13(6):401-406.
  • 2Stannard JP,Wilson TC,Volgas DA,et al.Fracture stabilization of proximal tibial fractures with the proximal tibial LISS:earlg experience in Birmingham,Alabama (USA).Injury,2003,34 suppll:A36-42.
  • 3Gnazavi MT,Pritzker KP,Davis AM,et al.Fresh osteochondral allografts for post-traumatic osteochondral defects of the knee.J Bone Jint Surg(Br),1997,79(6):1008-1013.
  • 4Lau TW,Leung F,Chan CF,et al.Minimally invasive plate osteosynthesis in the treatment of proximal humeral fracture.Intorthop,2007,31(5):657-664.
  • 5Jeon IH,Oh CW,Kim SJ,et al.Minimally invasive percutaneous plating of distal femoral fractures using the dynamic condylar screw.J Trauma,2004,57(5):1048-1052.
  • 6Cole PA,Zlowodzki M,Kregor PJ.Treatmeat of proximal tibia fractures using the less invasive stabilization system:surgical experience and early clinical results in 77 fractures.J orthop Tranma,2004,18:528-535.
  • 7何锦泉,庞贵根,胡永成,陈新,曾宪铁,梅小龙,贾鹏,孙翔,王佳.LISS治疗胫骨近端骨折的并发症[J].中华骨科杂志,2008,28(9):754-758. 被引量：14
  • 8Kolb W,Guhlmann H,Windisch C,et al.Fixation of distal femoral fractures with the less invasive stabilization system:a minimally invasive treatment with locked fixed-angle screws.J Trauma,2008,65(6):1425-1434.

二级参考文献17

  • 1罗从风,姜锐,曾炳芳.应用微创内固定系统治疗胫骨近端骨折[J].中华创伤骨科杂志,2005,7(12):1124-1127. 被引量：41
  • 2Young MJ, Barrack RL. Complications of internal fixation of tibial plateau fractures. Orthop Rev, 1994, 23: 149-154.
  • 3Cole PA, Zlowodzki M, Kregor PJ. Less Invasive Stabilization System (LISS) for fractures of the proximal tibia: indications, surgical technique and preliminary results of the UMC Clinical Trial. Injury, 2003, 34 Suppl 1: A16-29.
  • 4Cole PA, Zlowodzki M, Kregor PJ. Treatment of proximal tibia fractures using the less invasive stabilization system: surgical experience and early clinical results in 77 fractures. J Orthop Trauma, 2004, 18: 528-535.
  • 5Ricci WM, Rudzki JR, Borrelli J Jr. Treatment of complex proximal tibia fractures with the less invasive skeletal stabilization system. J Orthop Trauma, 2004, 18: 521-527.
  • 6Stannard JP, Wilson TC, Volgas DA, et al. Fracture stabilization of proximal tibial fractures with the proximal tibial LISS: early experi- ence in Birmingham, Alabama (USA). Injury, 2003, 34 Suppl 1: A36-42.
  • 7Stannard JP, Wilson TC, Volgas DA, et al. The less invasive stabilization system in the treatment of complex fractures of the tibial plateau: short-term results. J Orthop Trauma, 2004, 18: 552-558.
  • 8Schutz M, Kaab M J, Haas N. Stabilization of proximal tibial fractures with the LIS-System: early clinical experience in Berlin. Injury, 2003, 34 Suppl 1: A30-35.
  • 9Ilahi OA, Kadakia NR, Huo MH. Inter- and intraobserver variability of radiographic measurements of knee alignment. Am J Knee Surg, 2001, 14: 238-242.
  • 10Egol KA, Su E, Tejwani NC, et al. Treatment of complex tibial plateau fractures using the less invasive stabilization system plate: clinical experience and a laboratory comparison with double plating. J Trauma, 2004, 57: 340-346.

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中国医学创新
2010年 第33期

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